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Individual

MRS. MICHELLE RENEE BAGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1112 GENE REED RD, BIRMINGHAM, AL 35235-2405
(205) 836-2942
(205) 836-2946
Mailing address
4200 COLONNADE PKWY, BIRMINGHAM, AL 35243-2342
(205) 971-7613

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-114191
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-114191
AL
363LG0600X
Gerontology Nurse Practitioner
1-114191
AL

Other

Enumeration date
03/13/2016
Last updated
07/30/2025
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